Incidence-Based Cost of Asthma in Vietnam

Nguỹên, Ngọc Bích; Nguyen, T.T.T.

doi:10.1016/j.jval.2014.08.357

Cited by 4 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 9 Many reasons exist for this low level of asthma control, for example, related to the health care system and/or the doctor–patient relationship. Besides issues related to the health care system (e.g., unavailability of controllers, 10 unaffordability for some patients 1 , 2 , 11 – 13 ) or to physicians (e.g., incorrect diagnosis, lack of knowledge on asthma management, insufficient time or unwillingness to discuss matters with patients) 14 , 15 and patient-related problems (e.g., low level of treatment adherence), the patient’s low level of knowledge about the disease (particularly knowledge on self-management) is an important factor contributing to the low level of asthma control. 16 …”

Section: Introductionmentioning

confidence: 99%

Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam

Nguyen¹,

Huynh²,

Chavannes³

2018

IJGM

View full text Add to dashboard Cite

BackgroundMost asthma patients in Vietnam have poorly controlled asthma. Besides reasons related to the health care system and health care providers, knowledge on the self-management of patients has also contributed to this situation.PurposeTo assess knowledge on asthma self-management among adult asthma patients in Ho Chi Minh City.Patients and methodsA cross-sectional study with convenience sampling was conducted among 322 ambulatory patients using questionnaires filled in via a face-to-face interview. The questionnaires enquired about: 1) sociodemographic details, 2) the Global Initiative for Asthma 2017 criteria of asthma control, 3) the Asthma Control Test, and 4) the Asthma Self-Management Questionnaire (ASMQ). Knowledge on asthma self-management was determined by the ASMQ score. The relationship between this knowledge and demographic factors and asthma control levels was determined.ResultsThe knowledge on asthma self-management was low, with a mean raw ASMQ score of 4.3 (maximum 14); this is equivalent to 30 in a transformed score (maximum 100). Only 0.3% of these patients had good knowledge, 16.2% had adequate knowledge, and 83.5% had poor knowledge. Of all participants, 52% stated erroneously that asthma can be cured, 30% were confused about control and rescue medications, 68% failed to correctly describe the inhalation technique, and only 15.5% could answer correctly about the management of an exacerbation. Although most participants had poor asthma control, the higher the patient’s level of control, the better the ASMQ score. Conversely, patients with better knowledge of asthma self-management (ASMQ score ≥50) had better asthma control based on the Asthma Control Test score. Also, a higher education level was associated with more knowledge on asthma self-management.ConclusionIn these patients, the level of knowledge on asthma self-management was low and significantly correlated with the level of asthma control. There is a clear need to improve knowledge in order to improve asthma control in Vietnam.

show abstract

Section: Introductionmentioning

confidence: 99%

Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam

Nguyen¹,

Huynh²,

Chavannes³

2018

IJGM

View full text Add to dashboard Cite

show abstract

“…The majority of the ambulatory care of asthma in Vietnam is provided by primary care physicians (PCPs); however, the use of controller medications (eg, inhaled corticosteroids [ICS]) in this setting is challenge because of their unavailability 11 and/or unaffordability for patients with a low/average income. 1 , 2 , 12 – 14 Apart from this, lack of knowledge on asthma management by health care providers is another factor contributed to this low level of asthma control. It has been shown that knowledge and competence of PCPs are low and vary among countries and with time in the same country, 15 – 19 but these could be improved by education.…”

Section: Introductionmentioning

confidence: 99%

Implementation of GINA guidelines in asthma management by primary care physicians in Vietnam

Nguyen

et al. 2017

IJGM

View full text Add to dashboard Cite

BackgroundAsthma control is suboptimal in Vietnam. Lack of knowledge of primary care physicians (PCPs) for asthma management may potentially be one of the causes.PurposeThe aim of this study was to assess the knowledge and practice of PCPs’ asthma management based on the Global Initiative for Asthma (GINA) guidelines (2015 update).MethodsA cross-sectional study with convenience sampling was conducted among PCPs in an urban and rural area of Vietnam using questionnaires related to asthma patients daily practice: use of spirometry and the asthma control test (ACT), prescription of asthma medications, and frequency of consultations. Five asthma case scenarios were also used to ask participants to classify GINA-defined levels of asthma control and to choose the initial or adjusted treatment options based on the current situation. All scenarios are common in Vietnam, ie, three cases for adults, one case for children, and one case for pregnant women.ResultsOf the 327 completed questionnaires, 201 questionnaires could be analyzed. Most PCPs consulted their asthma patients on a weekly to monthly basis. Approximately 50% used spirometry for asthma care and only 25% used ACT. For asthma treatment, oral short-acting beta agonists and oral steroids were still commonly used and long-acting beta agonists alone were prescribed by 70%. Regarding GINA-defined levels of asthma control, 24% of the responders had ≥50% of correct answers, 21% had no correct answers, 2% had all five correct answers, and 20–42% had a correct answer for each of the five questions. Regarding treatment choice, 22% had ≥50% of correct answers, 14% had a wrong answer for all nine questions, and no respondent had a correct answer for ≥8 questions.ConclusionThe percentage of PCPs in Vietnam who had implemented GINA 2015 was low. Some drugs with a high risk of side effects were still being prescribed. There is a need to improve both knowledge and daily practice. Additional studies should determine why these guidelines are not largely adopted by PCPs in Vietnam.

show abstract

“…Tại thành phố Hồ Chí Minh, tỷ lệ trẻ em từ 6-7 tuổi từng bị HPQ là 10,9%, cao nhất ở khu vực châu Á -Thái Bình Dương [5]. Theo ước tính, tất cả các chi phí trực tiếp và gián tiếp đề điều trị cho một ca bệnh HPQ mới tại Việt Nam khoảng 70 triệu đồng [80], kinh tế Việt Nam phải chịu liên quan đến bệnh HPQ lên đến 16.193 tỷ đồng mỗi năm [8].…”

Section: đặT Vấn đềunclassified

Hiệu Quả Của Giáo Dục Sức Khỏe Đến Kiến Thức - Thực Hành Của Cha Mẹ Có Trẻ Bị Hen Phế Quản Tại Phòng Khám Hen Phế Quản Của Bệnh Viện Nhi Đồng Thành Phố

Nguyễn Hoàng Nhật,

Tăng Kim

2022

PNTJMP

View full text Add to dashboard Cite

Đặt vấn đề: Bệnh HPQ phế quản (HPQ) ở trẻ nhỏ là một trong những bệnh mạn tính phổ biến, làm tăng gánh nặng cho hệ thống y tế, gia đình và xã hội. Bên cạnh đó, hiệu quả của các chương trình tư vấn kiểm soát HPQ cho cha/mẹ của trẻ ở bệnh viện chưa được đánh giá một cách toàn diện. Mục tiêu: So sánh sự thay đổi điểm số trung bình về kiến thức và thực hành (KT-TH) của cha/mẹ và mức độ kiểm soát HPQ của trẻ trước và sau khi tư vấn 6 tháng. Phương pháp: Nghiên cứu can thiệp không nhóm chứng được thực hiện trên 98 đối tượng là cha/mẹ của trẻ bị HPQ với bảng câu hỏi tự điền. Để so sánh điểm KT-TH trước và sau 6 tháng tư vấn giáo dục KT-TH về HPQ, t-test hoặc Wilcoxon signed-rank test dạng bắt cặp được sử dụng. Mối liên quan giữa mức độ kiểm soát HPQ tốt với KT-THHPQ tốt được ước lượng theo Prevalence Ratio với kiểm định chi-square. Kết quả: Điểm số trung bình trong 3 nhóm kiến thức đều cải thiện sau tư vấn (p<0,001). Tổng điểm kiến thức về bệnh HPQ trung bình trước tư vấn đạt 21,1 điểm và sau tư vấn tăng 4,6 điểm (22%) (p<0,001). Điểm số trung bình thực hành chăm sóc trẻ HPQ sau tư vấn tăng gấp 13 lần so với trước tư vấn(p<0,001). Trẻ mắc HPQ được bác sĩ đánh giá kiểm soát bệnh tốt tăng từ 12% trước tư vấn lên 73% sau tư vấn (p<0,001). Có mối liên quan giữa KT-TH tốt với mức độ kiểm soát HPQ ở trẻ, trong đó mức độ kiểm soát trẻ HPQ tốt cao gấp 1,4 ở nhóm có kiến thức tốt và cao gấp 3,2 lần ở nhóm có thực hành tốt. Kết luận: Việc được tư vấn - giáo dục sức khỏe có hiệu quả làm tăng KT-TH của cha/mẹ có con bị HPQ, cũng như tăng tỷ lệ trẻ HPQ được kiểm soát tốt sau 6 tháng tư vấn. Abstract Background: Asthmain children is one of the most common chronic diseases, increasing the burden on families, the health system and the society. In addition, the effectiveness of counseling programs in hospitals for parents of children with bronchial diseasehas not been comprehensively evaluated. Objectives: To compare the changes in average scoresof parental knowledge andpractice (KP), and children‘s bronchial-disease controlling level before and after 6-month counseling. Methods: An uncontrolled intervention study was conducted on 98 subjects who were the parents of children with bronchial disease by using self-administered questionnaires. To compare the knowledge and practice scores before and after 6-month counseling, paired t-test or Wilcoxon signed-rank test was applied. The relationship between asthma controlling level and the knowledge and practice scores on asthma was estimated by the prevalence ratio with chi-squaretest. Results: The average scores of the three knowledge groups were improved after being consulted (p <0.001). Total score of knowledge on asthma before being consulted was 21.1 points and increased 4.6 points afterwards (22%) (p <0.001). The average score of childcare practice after being consulted was 13 times higher than that before being consulted (p <0.001). After being consulted, the percentage of children with asthma who were assessed to have good disease-control by physicians increased from 12% to 73% (p<0.001). There was a relationship between good knowledge and practice in parents and a controlling level in children, in which the good controlling level was 1.4 times higher in the group with good knowledge, and 3.2 times higher in the group with good practice. Conclusion: Effective health consultancy could increaseparental knowledge and practice, as well as the percentage of asthma children who had good control in asthma after having 6 months of consultancy.

show abstract

Incidence-Based Cost of Asthma in Vietnam

Cited by 4 publications

References 0 publications

Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam

Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam

Implementation of GINA guidelines in asthma management by primary care physicians in Vietnam

Hiệu Quả Của Giáo Dục Sức Khỏe Đến Kiến Thức - Thực Hành Của Cha Mẹ Có Trẻ Bị Hen Phế Quản Tại Phòng Khám Hen Phế Quản Của Bệnh Viện Nhi Đồng Thành Phố

Contact Info

Product

Resources

About